IVAN BELLEZA
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1437086527- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 13500 PLEASANT VLY RD, KUNA, ID, 836342709
- Phone
- (208) 424-3726
Specialties & Taxonomies
Nurse Practitioner
Primary License: ID #2181404